The telephone number of the Ombudsman Sample Clauses

The telephone number of the Ombudsman. If the member was not receiving the service prior to the denial, the County is not required to provide the benefit while the decision is being appealed. If the County’s denial, limitation, or delay of services is overturned or reversed by the County, Department, or DHA, the County must authorize or provide the disputed services promptly, and as expeditiously as the enrollee’s health condition requires. County grievance procedures must be reviewed and approved by the Department prior to signing the County Contract. All changes to County grievance procedures require prior review and approval by the Department.
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The telephone number of the Ombudsman. 13. The circumstance under which a benefit will continue during the grievance and appeal process. The fact that if the member continues to receive the disputed service, the member may be liable for the cost of care if the decision is adverse to the member. Deleted: enrollee Deleted: enrollee Deleted: excision Deleted: enrollee
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